Evidence map›Paper›PMID 33281187›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

Health and economic outcomes of newborn screening for infantile-onset Pompe disease.

John S Richardson, Alex R Kemper, Scott D Grosse, Wendy K K Lam, Angela M Rose, Ayesha Ahmad, Achamyeleh Gebremariam, Lisa A Prosser

Open access · bronzeAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

John S RichardsonDepartment of Health Management and Policy, University of Michigan, Ann Arbor, MI, USA.
Alex R KemperDivision of Ambulatory Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.
Scott D GrosseCenters for Disease Control and Prevention, Atlanta, GA, USA.
Wendy K K LamDuke Clinical & Translational Science Institute, School of Medicine, Duke University, Durham, NC, USA.
Angela M RoseSusan B. Meister Child Health Evaluation and Research (CHEAR) Center, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0001-6255-7339
Ayesha AhmadDivision of Pediatric Genetics, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Achamyeleh GebremariamSusan B. Meister Child Health Evaluation and Research (CHEAR) Center, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Lisa A ProsserDepartment of Health Management and Policy, University of Michigan, Ann Arbor, MI, USA. lisapros@umich.edu.
University of Michigan · USCenters for Disease Control and Prevention · USDuke University · USNationwide Children's Hospital · USRTI International · US

Funding

Health and Economic Outcomes for Newborn ScreeningR01HS020644 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PROSSER, LISA A. · 2011 to 2015
$2.4M
AHRQ HHS R01 HS020644Intramural CDC HHS CC999999
6 · The paper itself

Abstract

purposeTo estimate health and economic outcomes associated with newborn screening (NBS) for infantile-onset Pompe disease in the United States.

methodsA decision analytic microsimulation model simulated health and economic outcomes of a birth cohort of 4 million children in the United States. Universal NBS and treatment was compared with clinical identification and treatment of infantile-onset Pompe disease. Main outcomes were projected cases identified, costs, quality-adjusted life-years (QALYs), and incremental cost-effectiveness ratios (ICERs) over the life course.

resultsUniversal NBS for Pompe disease and confirmatory testing was estimated to cost an additional $26 million annually. Additional medication costs associated with earlier treatment initiation were $181 million; however, $8 million in medical care costs for other services were averted due to delayed disease progression. Infants with screened and treated infantile-onset Pompe disease experienced an average lifetime increase of 11.66 QALYs compared with clinical detection. The ICER was $379,000/QALY from a societal perspective and $408,000/QALY from the health-care perspective. Results were sensitive to the cost of enzyme replacement therapy.

conclusionNewborn screening for Pompe disease results in substantial health gains for individuals with infantile-onset Pompe disease, but with additional costs.

Indexed as

Glycogen Storage Disease Type IIChildCost-Benefit AnalysisEnzyme Replacement TherapyHumansInfantInfant, NewbornNeonatal ScreeningQuality-Adjusted Life YearsUnited States

Identifiers

PMID33281187
PMCPMC8035228
OpenAlexW3112578810

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.